Health plan & appeal guide
PVH Corp.
This employer has both kinds of coverage. The company on your insurance card decides which rules apply to you.
How we know · medium confidence
- The filing says benefits are paid from the employer's general assets.
- Medical insurance bought from Kaiser Permanente, HMSA (Blue Cross Blue Shield of Hawaii), Triple-S Salud is on file, covering about 258 people.
- We ignored a small insurance contract with Aetn Life, Tufts Health Plan covering about 10 people; it is too small to be the main plan.
- Medical insurance is on file, but the plan also pays benefits from the employer's own money, so some options are likely self-funded.
- The insured options cover only about 6% of the 4,552 participants, so most people in this plan are in the self-funded part.
Double-check in 30 seconds: “Self-funded”, “administered by” or “ASO” on your card or plan summary means self-funded. “Insured by” or “underwritten by” means insured.
Which company is on your insurance card?
It’s printed on the front of the card. The filing shows which companies sell insured options here and which ones run the self-funded plan.
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